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