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