| Name | Value |
|---|---|
| NAME | LTC CC INPT RESPITE CANCEL |
| ABBREVIATION | C CCIRES |
| CHARGE CATEGORY | CC RESPITE CARE |
| SEQUENCE NUMBER | CANCEL |
| CANCELLATION ACTION TYPE | LTC CC INPT RESPITE CANCEL |
| UPDATE ACTION TYPE | LTC CC INPT RESPITE UPDATE |
| NEW ACTION TYPE | LTC CC INPT RESPITE NEW |
| BILLING GROUP | LTC INPT |