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