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