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