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