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