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