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