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