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