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