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