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005010X221 | 835: Health Care Claim Payment/Advice TR3 | CD
 
This document (005010X221) has been named to replace the currently mandated version (004010X091A1) no later than 12/31/2011.

The Health Care Claim Payment/Advice Implementation Guide describes the transaction used to make payment and/or send EOB remittance advice on a health care claim transaction.

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$600.00