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