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