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