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