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