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