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