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