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