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