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