HMN-RX (69) RATE SCHEDULE (363)
Name
Value
NAME
HMN-RX
RATE TYPE
HUMANITARIAN
BILL TYPE
OUTPATIENT
EFFECTIVE DATE
2013-08-13 00:00:00
INACTIVE DATE
2013-12-31 00:00:00
ADJUSTMENT
S X=X+13.18
CHARGE SET
RX COST
AUTO ADD: YES
