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