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