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