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