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