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