Miscellaneous: Claims Detail Screen

Locate the terms found in the claims detail screen.

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