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