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