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