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