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