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