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