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