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