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North Carolina Division of Medical Assistance Companion Guide Premium Payment Order/Remittance Advice 820 005010X218 Division of Medical Assistance DMA Instructions related to Transactions based on ASC X12 Implementation Guides version 005010X218 Companion Guide Version Number 1. NON-SHADED rows represent data elements in the X12N implementation guide. 005010X218 Premium Payment Order/Remittance Advice Loop ID Reference Header ST Transaction Set .

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