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