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