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