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