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