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