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