CHOICE REIMB INS (30) RATE TYPE (399.3)

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