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