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