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