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