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