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