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