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