DTR-RX (355) RATE SCHEDULE (363)
Name
Value
NAME
DTR-RX
RATE TYPE
DENTAL REIMB. INS.
BILL TYPE
OUTPATIENT
EFFECTIVE DATE
2022-01-01 00:00:00
INACTIVE DATE
2022-12-31 00:00:00
ADJUSTMENT
S X=X+13.26
CHARGE SET
RX COST
AUTO ADD: YES
