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