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