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