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