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