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