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