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