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