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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
D
I
A
G
N
O
S
I
S
H
J
U
V
P
D
T
F
J
J
U
Z
D
H
B
X
B
S
G
M
Z
C
R
S
M
R
S
O
E
F
C
B
Y
E
P
D
L
X
C
G
V
S
K
E
D
L
B
U
V
Y
R
X
J
R
O
I
A
W
E
W
M
A
I
C
A
V
V
C
M
B
T
M
H
R
B
V
K
O
E
Y
E
R
A
C
I
D
E
M
R
H
W
E
R
U
D
E
C
O
R
P
B
P
D
E
F
B
U
N
D
U
E
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