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