LEGACY UB-92 (693)    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 19
LOCAL OVERRIDE ALLOWED YES
STARTING COLUMN OR PIECE 31
LENGTH 10
SHORT DESCRIPTION HCPCS/RATES (FL-44)