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