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