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