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