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