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