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