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