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