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