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