LEGACY UB-92 (658) IB FORM SKELETON DEFINITION (364.6)
Name
Value
BILL FORM
LEGACY UB-92
SECURITY LEVEL
NATIONAL,NO EDIT
PAGE OR SEQUENCE
1
FIRST LINE NUMBER
11
LOCAL OVERRIDE ALLOWED
YES
STARTING COLUMN OR PIECE
14
LENGTH
7
SHORT DESCRIPTION
OCCURRENCE DATE (FL-33/2)
