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