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