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welcome to this tutorial on direct data entry dde how to adjust a claim created by the meridian outdocHub and education team the information given in this training is correct as of the presentation date the most current information contained in this presentation can be found on the meridian medicare website and the cms website at the links listed on the slide the claim adjustments function in dde is used for claims that are already in the finalized location those that end in nine seven this function does not work for claims that are still in processing it can be used to replace an existing claim however there are scenarios that may result in recoupment the adjustment function replaces an existing processed claim by canceling it and processing a new claim at the same time as a provider your options are an xx7 adjustment or xxq reopening type of bill the xxq type of bill is used for claims that are passed to the timely filing deadline generally speaking adjustments are not permitted to me