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