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