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