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