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