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