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