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