LEGACY UB-92 (753) 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
59
LOCAL OVERRIDE ALLOWED
YES
STARTING COLUMN OR PIECE
57
LENGTH
25
SHORT DESCRIPTION
OTHER PHYS ID (FL-83/1)
