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