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