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