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