DG TRICARE RX COPAY CANCEL (71)    IB ACTION TYPE (350.1)

Name Value
NAME DG TRICARE RX COPAY CANCEL
ABBREVIATION CAN TRX
CHARGE CATEGORY TRICARE PATIENT
SEQUENCE NUMBER CANCEL
CANCELLATION ACTION TYPE DG TRICARE RX COPAY CANCEL
NEW ACTION TYPE DG TRICARE RX COPAY NEW