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