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