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