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