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