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