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