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