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