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