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