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