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