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