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