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