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