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