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