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