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