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