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