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