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