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