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