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