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