| Name | Value |
|---|---|
| NAME | CHOICE (INPT) CANCEL |
| ABBREVIATION | CAN CCCI |
| CHARGE CATEGORY | CHOICE INPT |
| SEQUENCE NUMBER | CANCEL |
| CANCELLATION ACTION TYPE | CHOICE (INPT) CANCEL |
| UPDATE ACTION TYPE | CHOICE (INPT) UPDATE |
| NEW ACTION TYPE | CHOICE (INPT) NEW |
| BILLING GROUP | INPT/NHCU FEE SERVICE |
| INACTIVE | 1 |