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