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