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