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