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