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