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