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