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