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