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