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