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