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