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