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