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