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