LEGACY UB-92 (705) 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	43
LOCAL OVERRIDE ALLOWED	YES
STARTING COLUMN OR PIECE	27
LENGTH	13
SHORT DESCRIPTION	PROVIDER NUMBER (FL-51A:C)