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