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