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