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