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