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