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