| Name | Value |
|---|---|
| NAME | LTC CCN OPT ADHC CANCEL |
| ABBREVIATION | C CCNOAD |
| CHARGE CATEGORY | CCN NURSING HOME CARE - LTC |
| SEQUENCE NUMBER | CANCEL |
| CANCELLATION ACTION TYPE | LTC CCN OPT ADHC CANCEL |
| UPDATE ACTION TYPE | LTC CCN OPT ADHC UPDATE |
| NEW ACTION TYPE | LTC CCN OPT ADHC NEW |
| BILLING GROUP | LTC OPT |