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