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