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