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