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