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