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