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