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