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