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