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