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