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