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