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