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