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