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