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