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