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