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