| Name | Value |
|---|---|
| NAME | LTC CHOICE INPT RESPITE CANCEL |
| ABBREVIATION | C CCCIRS |
| CHARGE CATEGORY | CHOICE RESPITE CARE |
| SEQUENCE NUMBER | CANCEL |
| CANCELLATION ACTION TYPE | LTC CHOICE INPT RESPITE CANCEL |
| UPDATE ACTION TYPE | LTC CHOICE INPT RESPITE UPDATE |
| NEW ACTION TYPE | LTC CHOICE INPT RESPITE NEW |
| BILLING GROUP | LTC INPT |
| INACTIVE | 1 |