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