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