INELIG-RX (358)    RATE SCHEDULE (363)

Name Value
NAME INELIG-RX
RATE TYPE INELIGIBLE
BILL TYPE OUTPATIENT
BILLABLE SERVICE OUTPATIENT VISIT
EFFECTIVE DATE 2022-01-01 00:00:00
INACTIVE DATE 2022-12-31 00:00:00
ADJUSTMENT S X=X+13.26
CHARGE SET