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