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