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