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