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