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