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