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