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