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