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