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