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