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