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