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