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