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