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