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