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