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