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