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