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