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