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