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