| Name | Value |
|---|---|
| NAME | FEE REIMB INS |
| BILL NAME | FEE REIMB INS |
| INACTIVE | YES |
| ABBREVIATION | FEE INS |
| IS THIS A THIRD PARTY BILL? | YES |
| ACCOUNTS RECEIVABLE CATEGORY | FEE REIMB INS |
| WHO'S RESPONSIBLE | INSURER |
| REIMBURSABLE INSURANCE? | YES |
| NSC STATEMENT ON UB BILLS | YES |
| ELECTRONIC TRANSMIT | ALLOWED |
| BILL RESULTING FROM | HI |