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