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