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