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