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