LEGACY UB-92 (757) 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	62
LOCAL OVERRIDE ALLOWED	YES
STARTING COLUMN OR PIECE	50
LENGTH	30
SHORT DESCRIPTION	OTH PHYS ID (FL-83/4)