LEGACY UB-92 (714) 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	48
LOCAL OVERRIDE ALLOWED	YES
STARTING COLUMN OR PIECE	27
LENGTH	3
SHORT DESCRIPTION	PATIENT RELATION (FL-59A:C)