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