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