LEGACY UB-92 (736) 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
57
LOCAL OVERRIDE ALLOWED
YES
STARTING COLUMN OR PIECE
59
LENGTH
23
SHORT DESCRIPTION
ATTENDING PHYS ID (FL-82/1)
