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