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