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