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