| # | Name | Location | Type | Details | Index | Description |
|---|---|---|---|---|---|---|
| .01 | adjustment category (grp code)(+) | 0;1 | SET OF CODES | CO:Contractual Obligations CR:Corrections and Reversals OA:Other Adjustments PI:Payor Initiated Reductions PR:Patient Responsibility MM:Medicare Message | B | This is the group code as reported on the EOB for the adjustment |
| 1 | reasons | 1;0 | MULTIPLE | 361.111 | This is the list of reasons returned for claim-level adjustments to the claim. |
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