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