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