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