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