LEGACY HCFA-1500 (959) 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
52
LENGTH
12
SHORT DESCRIPTION
VA PIN # (BX-33/LN5A)
CALCULATE ONLY OR OUTPUT
OUTPUT
