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