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