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Updated:10/16/2008

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ADX
Individual Premium Adjustment .
Pos: 210 Max: 1
Detail - Optional
Loop: 2320B Elements: 2
.

To convey accounts-payable adjustment information for the purpose of cash application, including payer-generated debit/credit memos

Element Summary:

                     
  _Ref_ Id _________Element Name__________ Req Type Min/Max    
  ADX01 782 Monetary Amount M R 1/18    
      Description: Monetary amount
  ADX02 426 Adjustment Reason Code M ID 2/2    
      Description: Code indicating reason for debit or credit memo or adjustment to invoice, debit or credit memo, or payment
        Code Name_______________________________
      20 Balance Due Declined
      52 Credit for Previous Overpayment
      53 Remittance for Previous Underpayment
      AA Prepaid Benefit or Advances
      AX Person No Longer Employed
      H1 Information Forthcoming
          Description: Awaiting paper correspondence with associated details
      H6 Partial Payment Remitted
          Description: Total compensation was not sent
      IA Invoice Amount Does Not Match Account Analysis Statement
      J3 Promised Adjustment Not Received


Transaction Set

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Copyright © 1996-2008  Management Systems Consulting, Inc.
Last modified: May 16, 2008