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