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