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