LEGACY HCFA-1500 (966) 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
9
LOCAL OVERRIDE ALLOWED
YES
STARTING COLUMN OR PIECE
2
LENGTH
49
SHORT DESCRIPTION
INS TYPE CHECK BOX (BX-1)
CALCULATE ONLY OR OUTPUT
OUTPUT
