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31 Dec 2015 (835) COMPANION GUIDE. Refers to the. Implementation Guide. Based on ASC X12/. 005010X221A1 Health. Care Claim Payment/. Advice.Sample: 835-PLB CS Adjustment Report (Claim Level). 23. Document Change Log. 24. BCBSNC Companion Guide to X12 5010 Transactions: - 835 Health The following matrix lists all segments available for creation with the 4010A1 version of the 835 Health Care Claim Payment/Advice IG. This guide includes an 835 Payment Advice LA Medicaid Companion Guide, The purpose of this of the X12 835 Health Care Claim Payment/Advice HIPAA Implementation Guide for 3 Jul 2003 835. Companion Guide. Payment/Advice. Version 4.0 lists all segments available on the 4010 version of the 835 Implementation Guide.

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