LEGACY UB-92 (717) 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
65
LENGTH
17
SHORT DESCRIPTION
INSURANCE GROUP NO (FL-62A:C)
