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