| # | Name | Location | Type | Details | Index | Description |
|---|---|---|---|---|---|---|
| .01 | reason code | 0;1 | FREE TEXT | B | This is the reason code for the adjustment | |
| .02 | amount | 0;2 | NUMERIC | This is the adjusted amount for the reason code | ||
| .03 | quantity | 0;3 | NUMERIC | This is the quantity for the item adjusted | ||
| .04 | reason text | 0;4 | FREE TEXT | This is the free text interpretation of the reason code, if available |
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