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