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Miscellaneous: Claims Adjustments
Claims
Claims Adjustments
Claims
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CHARGES
COB
DATE
DIAGNOSIS
MEDICARE
PLACE
PROCEDURE
PROVIDER
SUBSCRIBER
N
Q
U
A
J
E
F
M
J
K
N
M
X
E
R
U
D
E
C
O
R
P
A
J
U
E
A
D
H
R
E
R
L
W
V
J
T
I
A
W
B
O
J
A
C
R
E
C
R
Q
I
V
P
Q
C
W
Z
A
G
Z
R
I
S
X
U
E
J
R
E
Y
C
D
J
F
J
J
M
E
S
I
S
E
O
N
S
U
G
E
S
B
B
R
P
U
B
A
M
N
O
G
U
D
I
A
G
N
O
S
I
S
S
Y
Y
E
C
H
T
R
K
Y
R
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