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