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