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