LEGACY UB-92 (711) 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
46
LOCAL OVERRIDE ALLOWED
YES
STARTING COLUMN OR PIECE
46
LENGTH
11
SHORT DESCRIPTION
PT PRIOR PAYMENTS (FL-54/4)
