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