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