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