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