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