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