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