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