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