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