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