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OCR: Payment for Quinter Paula Location Centra Surgery Cancel nK Payment Adjustment Refund Total Amount Date Preview Save $[4,200.00] 3/14/2005 Print Add New Description Responsibilty Patient Cancelled Surgery Adiustment Provider Lewis April] Payment Category A negative adjustment amount will reduce the patient balance positive adjustment amount will increase the patient balance Method Cash Chect Charge Show Tips>> Central Outoatient Adiustmen Paument Treduce patien Chieck Cert