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