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