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