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