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