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