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