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