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