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