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