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