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