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