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