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