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