LEGACY HCFA-1500 (778) IB FORM SKELETON DEFINITION (364.6)
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
74
LENGTH
2
SHORT DESCRIPTION
INSURED'S STATE (BX-7/2B)
CALCULATE ONLY OR OUTPUT
OUTPUT
