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