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