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