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