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