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