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