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