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