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