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