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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
I
S
O
N
G
A
I
D
Y
S
G
T
Q
U
D
C
K
Z
N
U
Z
R
S
H
S
Z
S
F
R
B
L
X
E
C
M
W
N
E
C
S
L
X
J
D
C
N
D
D
G
C
L
V
H
P
I
F
A
S
T
R
O
B
H
U
W
V
R
H
L
I
A
B
B
E
Y
C
O
L
W
B
P
H
E
T
Q
N
U
R
M
E
D
I
C
A
R
E
N
S
P
R
O
C
E
D
U
R
E
K
D
I
T
M
Q
A
G
B
Z
I
I
O
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