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