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