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