REFUSED TO PAY DEDUCTIBLE (18)    DISPOSITION (37)

Name Value
NAME REFUSED TO PAY DEDUCTIBLE
INACTIVE NO
PROGRAM ACTION Q
APPLICATION CODE REGISTRATION
DISPOSITION ACTION NO CHANGE (INACTIVE IF NONE)
CONTINUING CARE NO
*AMIS 331 GROUP OUTPATIENT CARE
*AMIS 320 GROUP NOT AGREEING TO PAY DEDUCT.
AMIS 401-420 DISPOSITION GROUP REFUSED TO PAY