LEGACY HCFA-1500 (780) 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	65
LENGTH	15
SHORT DESCRIPTION	INSURED'S PHONE (BX-7/3B)
CALCULATE ONLY OR OUTPUT	OUTPUT