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