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