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