| Name | Value |
|---|---|
| NAME | LTC CCN OPT RESPITE CANCEL |
| ABBREVIATION | C CCNORS |
| CHARGE CATEGORY | CCN RESPITE CARE |
| SEQUENCE NUMBER | CANCEL |
| CANCELLATION ACTION TYPE | LTC CCN OPT RESPITE CANCEL |
| UPDATE ACTION TYPE | LTC CCN OPT RESPITE UPDATE |
| NEW ACTION TYPE | LTC CCN OPT RESPITE NEW |
| BILLING GROUP | LTC OPT |