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