LEGACY UB-92 (739) 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
58
LOCAL OVERRIDE ALLOWED
YES
STARTING COLUMN OR PIECE
4
LENGTH
8
SHORT DESCRIPTION
PRIN PROCEDURE CODE (FL-80/1)
