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