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