LEGACY UB-92 (707) 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
44
LENGTH
1
SHORT DESCRIPTION
ASSIGN OF BENEFITS (FL-53A:C)
