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