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