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