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