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