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