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