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