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