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