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