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