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