LEGACY UB-92 (743) 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
34
LENGTH
8
SHORT DESCRIPTION
OTHER PROC CODE 2 (FL-81/1.3)
