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