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