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