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