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