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