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