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