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