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