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