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