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