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