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