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