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