| Name | Value |
|---|---|
| CATEGORY | INELIGIBLE HOSP. REIMB. |
| ABBREVIATION | IR |
| REFER TO DMC? | NO |
| REFER TO TOP? | NO |
| REFER TO CS? | NO |
| ELIG FOR RPP | 0 |
| PRINT SPECIAL NOTICE? | 0 |
| CHARGE ADMINISTRATIVE? | NO |
| CHARGE PENALTY? | NO |
| ACCRUED? | NON-ACCRUED |
| REFUND/REIMBURSEMENT | REIMBURSEMENT |
| SEGMENT | 251 |
| GL # | 1213 |
| TYPE | THIRD PARTY |
| CATEGORY NUMBER | 49 |
| RECEIVABLE CODE | NON-FEDERAL |
| CHARGE INTEREST? | NO |