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