CCC-WC-RX (283)    RATE SCHEDULE (363)

Name Value
NAME CCC-WC-RX
RATE TYPE CHOICE WORKERS' COMP
BILL TYPE OUTPATIENT
EFFECTIVE DATE 2019-01-01 00:00:00
INACTIVE DATE 2019-12-31 00:00:00
ADJUSTMENT S X=X+17.66
CHARGE SET