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