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