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