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