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