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