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