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