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