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