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