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