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