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