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