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