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