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