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