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