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