LEGACY HCFA-1500 (788)    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 62
LOCAL OVERRIDE ALLOWED YES
STARTING COLUMN OR PIECE 67
LENGTH 13
SHORT DESCRIPTION VA GRP # (BX-33/LN5B)