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