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