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