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