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)
