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