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