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