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