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