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
PRINT SPECIAL NOTICE?	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