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