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