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