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