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