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