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