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