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