LEGACY UB-92 (696) 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	54
LENGTH	13
SHORT DESCRIPTION	TOTAL CHARGES (FL-47)