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