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