| Name | Value |
|---|---|
| NAME | ESTIMATED RESPONSIBILITY PATIENT |
| CODE | D3 |
| VALUE CODE | YES |
| VALUE CODE AMOUNT | YES |
| VALUE CODE HELP TEXT | Enter a monetary amount associated with this value code. Enter it in the format of dollars and cents (00.00). If you enter only dollars (00), the system will add on .00 cents. Maximum length INCLUDING the cents, is 9 numbers. |