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