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