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