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