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