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