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