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