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