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