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