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