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