Claims Detail Screen
Locate the terms found in the claims detail screen.
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BRAND-NAME
DATE-OF-SERVICE
DATE-SUBMITTED
DAW-CODE
DAY-SUPPLY
DEA-CLASS
GENERIC-INDICATOR
GENERIC-NAME
GPI
MANUFACTURER
NABP
NDC
NPI
PRESCRIBER-ID
PRESCRIBER-NAME
PROVIDER-NAME
QUANTITY-DIPENSED
REJECTION-CODE
REJECTION-MESSAGE
REMAININGTROOP
RX-NUMBER
D | N | J | H | V | O | B | N | G | E | E | K | U | U | L | K | R | Z | D | I |
H | C | D | H | H | D | A | T | E | - | O | F | - | S | E | R | V | I | C | E |
P | Q | A | P | R | E | S | C | R | I | B | E | R | - | I | D | C | D | G | C |
M | R | T | R | E | S | X | Z | B | E | V | J | E | O | V | Y | D | E | P | F |
C | E | E | O | R | N | R | E | P | Q | D | F | S | P | B | A | N | P | I | H |
P | B | - | V | U | E | A | K | O | V | R | J | Q | A | U | E | K | H | H | P |
G | M | S | I | T | P | R | E | S | C | R | I | B | E | R | - | N | A | M | E |
E | U | U | D | C | I | C | J | F | Y | B | C | Q | I | G | T | V | F | K | T |
N | N | B | E | A | D | H | J | M | K | R | K | C | V | Z | A | M | L | Z | Z |
E | - | M | R | F | - | K | P | B | V | H | - | F | P | C | H | B | R | Q | D |
R | X | I | - | U | Y | G | C | B | Y | I | Q | E | K | G | H | A | E | T | Y |
I | R | T | N | N | T | A | Y | I | N | K | B | C | F | J | C | E | C | P | X |
C | E | T | A | A | I | V | V | D | A | Y | - | S | U | P | P | L | Y | A | N |
- | D | E | M | M | T | O | I | B | R | A | N | D | - | N | A | M | E | F | B |
N | O | D | E | V | N | C | Q | D | O | S | S | A | L | C | - | A | E | D | A |
A | C | S | O | Y | A | X | C | H | F | C | G | R | C | I | Z | M | P | X | L |
M | - | U | E | T | U | R | E | M | A | I | N | I | N | G | T | R | O | O | P |
E | W | A | O | E | Q | G | I | V | H | R | G | S | C | I | D | O | W | V | L |
J | A | R | E | J | E | C | T | I | O | N | - | M | E | S | S | A | G | E | O |
E | D | O | C | - | N | O | I | T | C | E | J | E | R | E | H | Z | A | D | H |
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