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