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