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