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