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