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