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