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