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