LEGACY HCFA-1500 (779) 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
17
LOCAL OVERRIDE ALLOWED
YES
STARTING COLUMN OR PIECE
50
LENGTH
13
SHORT DESCRIPTION
INSURED'S ZIP CODE (BX-7/3A)
CALCULATE ONLY OR OUTPUT
OUTPUT