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