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