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