CCN-RI-RX (322) RATE SCHEDULE (363)
Name
Value
NAME
CCN-RI-RX
RATE TYPE
CCN REIMB INS
BILL TYPE
OUTPATIENT
EFFECTIVE DATE
2021-01-01 00:00:00
INACTIVE DATE
2021-12-31 00:00:00
ADJUSTMENT
S X=X+20.71
CHARGE SET
RX COST
AUTO ADD: YES
