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