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