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