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