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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
C
N
M
T
M
J
M
V
N
X
E
U
K
S
U
F
B
W
G
L
S
R
F
B
X
E
W
E
A
R
E
I
A
L
R
S
C
G
L
T
M
R
S
C
D
N
E
C
X
R
Q
A
U
O
I
P
T
O
D
R
J
A
H
D
N
D
Q
B
D
B
I
I
X
H
E
G
E
O
M
P
N
Y
V
B
P
C
A
M
I
V
L
Z
S
K
O
E
O
I
X
B
N
L
J
E
V
T
R
R
D
Y
U
X
V
Q
E
C
A
L
P
Q
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