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