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