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