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