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