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