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