TRICARE PHARMACY (39) RATE TYPE (399.3)

Name	Value
NAME	TRICARE PHARMACY
BILL NAME	TRICARE PHARMACY
ABBREVIATION	TR RX
IS THIS A THIRD PARTY BILL?	YES
ACCOUNTS RECEIVABLE CATEGORY	TRICARE PHARMACY
WHO'S RESPONSIBLE	INSURER
REIMBURSABLE INSURANCE?	YES
NSC STATEMENT ON UB BILLS	YES
ELECTRONIC TRANSMIT	ALLOWED
BILL RESULTING FROM	HI