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