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