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