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