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