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