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Miscellaneous: Claims Adjustments
Claims
Claims Adjustments
Claims
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CHARGES
COB
DATE
DIAGNOSIS
MEDICARE
PLACE
PROCEDURE
PROVIDER
SUBSCRIBER
A
S
P
H
U
W
X
D
N
K
S
B
J
I
G
F
S
X
Z
S
U
I
B
E
E
S
E
J
B
W
B
S
B
E
R
R
T
O
T
O
S
J
D
C
T
U
A
P
U
N
C
U
R
P
M
C
D
C
H
A
R
G
E
S
G
Q
H
E
I
N
I
I
F
A
Q
G
P
D
C
D
B
N
P
L
P
I
V
W
F
O
E
N
E
C
A
L
P
D
Y
Z
R
M
X
D
K
D
G
N
J
H
V
P
R
O
V
I
D
E
R
X
O
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