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