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