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