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