| Name | Value |
|---|---|
| NAME | DG LTC FEE INPT RESPITE CANCEL |
| ABBREVIATION | FLTC IRS |
| CHARGE CATEGORY | RESPITE CARE-INSTITUTIONAL |
| SEQUENCE NUMBER | CANCEL |
| CANCELLATION ACTION TYPE | DG LTC FEE INPT RESPITE CANCEL |
| UPDATE ACTION TYPE | DG LTC FEE INPT RESPITE UPDATE |
| NEW ACTION TYPE | DG LTC FEE INPT RESPITE NEW |
| BILLING GROUP | LTC INPT |
| INACTIVE | 1 |