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