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