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