NF-RX (58) RATE SCHEDULE (363)
Name
Value
NAME
NF-RX
RATE TYPE
NO FAULT INS.
BILL TYPE
OUTPATIENT
EFFECTIVE DATE
2012-01-01 00:00:00
INACTIVE DATE
2012-12-31 00:00:00
ADJUSTMENT
S X=X+12.39
CHARGE SET
RX COST
AUTO ADD: YES
