DG TRICARE OPT COPAY CANCEL (72)    IB ACTION TYPE (350.1)

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