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