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