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