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