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