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