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