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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
E
K
J
N
S
F
W
T
X
F
U
U
R
E
K
L
P
T
G
U
Q
J
B
R
A
B
H
D
D
L
D
Z
S
Z
S
E
C
E
L
N
S
I
Q
S
E
M
C
D
I
M
W
W
F
B
C
C
G
K
R
I
D
D
I
E
J
W
E
D
R
M
I
V
E
P
C
P
N
J
T
E
A
L
B
O
M
A
R
G
O
Y
A
U
H
O
E
R
L
Y
H
E
R
U
D
E
C
O
R
P
O
V
D
I
A
G
N
O
S
I
S
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