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