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