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