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