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