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