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