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