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