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