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