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