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