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