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