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