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