| Name | Value |
|---|---|
| NAME | DG LTC FEE OPT ADHC CANCEL |
| ABBREVIATION | FLTC ADH |
| CHARGE CATEGORY | ADULT DAY HEALTH CARE |
| SEQUENCE NUMBER | CANCEL |
| CANCELLATION ACTION TYPE | DG LTC FEE OPT ADHC CANCEL |
| UPDATE ACTION TYPE | DG LTC FEE OPT ADHC UPDATE |
| NEW ACTION TYPE | DG LTC FEE OPT ADHC NEW |
| BILLING GROUP | LTC OPT |
| INACTIVE | 1 |