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