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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