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