| Name | Value |
|---|---|
| NAME | LTC CHOICE OPT ADHC CANCEL |
| ABBREVIATION | C CCCOAD |
| CHARGE CATEGORY | CHOICE NURSING HOME CARE - LTC |
| SEQUENCE NUMBER | CANCEL |
| CANCELLATION ACTION TYPE | LTC CHOICE OPT ADHC CANCEL |
| UPDATE ACTION TYPE | LTC CHOICE OPT ADHC UPDATE |
| NEW ACTION TYPE | LTC CHOICE OPT ADHC NEW |
| BILLING GROUP | LTC OPT |
| INACTIVE | 1 |