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