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