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