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