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