Name | Value |
---|---|
BILL FORM | LEGACY HCFA-1500 |
SECURITY LEVEL | NATIONAL,NO EDIT |
PAGE OR SEQUENCE | 1 |
FIRST LINE NUMBER | 15 |
LOCAL OVERRIDE ALLOWED | YES |
STARTING COLUMN OR PIECE | 50 |
LENGTH | 24 |
SHORT DESCRIPTION | INSURED'S CITY (BX-7/2A) |
CALCULATE ONLY OR OUTPUT | OUTPUT |