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