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