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