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