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