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