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Example 5a

calendar_today July 29, 2026 person X12 Admin domain edi-214

Example 5a X12 Admin Wed, 07/29/2026 - 12:45 Example shows impact to service line payment but not the actual allowed amount. Additional Tax payment at service line level that does not impact claim adjudication but does impact payment. In this scenario the provider billed $26.20 on line one of the claim and the true Allowed is 3.06.

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