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