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