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