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