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