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