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