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