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