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