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