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