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