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