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