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