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