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