CCN RX CO-PAYMENT (66)    ACCOUNTS RECEIVABLE CATEGORY (430.2)

Name Value
CATEGORY CCN RX CO-PAYMENT
ABBREVIATION CQ
REFER TO DMC? YES
REFER TO TOP? PRIOR TO 8/1/15
REFER TO CS? 8/1/15 AND AFTER
DISPLAY IN BILL PROFILE? CC RX
DISP BILL PROF DESC INFO? COMM CARE RX DISPLAY
ELIG FOR RPP 1
CHARGE ADMINISTRATIVE? YES
CHARGE PENALTY? NO
ACCRUED? ACCRUED
REFUND/REIMBURSEMENT REIMBURSEMENT
PARAGRAPH CODES 25,40,55,80,85,50,60,65,70
SEGMENT 294
GL # 1212
TYPE PATIENT
CATEGORY NUMBER 68
RECEIVABLE CODE NON-FEDERAL
CHARGE INTEREST? YES