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