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