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