TRRI-RX (315)    RATE SCHEDULE (363)

Name Value
NAME TRRI-RX
RATE TYPE TRICARE REIMB. INS.
BILL TYPE OUTPATIENT
BILLABLE SERVICE PRESCRIPTION
EFFECTIVE DATE 2021-01-01 00:00:00
INACTIVE DATE 2021-12-31 00:00:00
ADJUSTMENT S X=X+16.11
CHARGE SET